Healthcare Provider Details

I. General information

NPI: 1558809285
Provider Name (Legal Business Name): THE ARC OF ANCHORAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2017
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 ARCA DR #1
ANCHORAGE AK
99508-3462
US

IV. Provider business mailing address

2211 ARCA DR
ANCHORAGE AK
99508-3462
US

V. Phone/Fax

Practice location:
  • Phone: 907-277-6677
  • Fax: 907-777-0360
Mailing address:
  • Phone: 907-277-6677
  • Fax: 907-777-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBER SANBORN
Title or Position: HR MANAGER
Credential:
Phone: 907-777-0154